DR. ANTONIO R PEREZ-ATAYDE (MD) – Anatomic Pathology Physician, NPI 1164433207

DR. ANTONIO R PEREZ-ATAYDE (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 43903 (MA). The NPI Number for DR. ANTONIO R PEREZ-ATAYDE (MD) is 1164433207

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONIO R PEREZ-ATAYDE (MD)
NPI
1164433207
Phone
(617) 355-6000
Address
300 LONGWOOD AVE
Enumeration Date
11 August 2006
Last Update Date
20 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
1974 (52 years ago)
PAC ID
9537178264
Group Practice PAC ID
0143292730
Professional Enrollment ID
I20060407000383
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

799 PATHOLOGY in MA

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Provider Addresses for DR. ANTONIO R PEREZ-ATAYDE (MD)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060407000383IPathologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143292730View full group profile
NameSpecialtyState
P A T H O L O G YNH
P A T H O L O G YMA
P A T H O L O G YMA
P A T H O L O G YMA
Pathology, HematologyMA
P A T H O L O G YMA
-TX
P A T H O L O G YMA
P A T H O L O G YMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

How do I look up DR. ANTONIO R PEREZ-ATAYDE (MD) by NPI?
Use NPI 1164433207 when you need to reference DR. ANTONIO R PEREZ-ATAYDE (MD) in forms, claims, or directories.
Does this profile mean DR. ANTONIO R PEREZ-ATAYDE (MD) is currently active?
Yes — DR. ANTONIO R PEREZ-ATAYDE (MD) appears active in the national provider directory.
Does DR. ANTONIO R PEREZ-ATAYDE (MD) list a primary specialty?
If you are matching referrals, note Anatomic Pathology Physician for DR. ANTONIO R PEREZ-ATAYDE (MD). Clinical services aligned with this taxonomy classification.
Does DR. ANTONIO R PEREZ-ATAYDE (MD) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. ANTONIO R PEREZ-ATAYDE (MD) alongside any extra practice locations.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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